Provider Demographics
NPI:1316741911
Name:LAIRE, ANNA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LAIRE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:LAIRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2930 E UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-8236
Mailing Address - Country:US
Mailing Address - Phone:515-299-5186
Mailing Address - Fax:515-299-5192
Practice Address - Street 1:2930 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-8236
Practice Address - Country:US
Practice Address - Phone:515-299-5186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist